Ukwelashwa kwesikhumba se-seborrheic dermatitis ekhaya

I-seborrheic dermatitis yisifo esithinta isikhumba somuntu. Ibonakala kakhulu ebusweni, ekhanda. Lesi sifo sibonakaliswa yinqubo yokuvuvukala yesikhumba ngenxa yokuphazamiseka kwemithambo ye-sebaceous. Ihambisana nenqwaba yezimpawu ezingemnandi. Odokotela baphinde babize i-dermatitis eczema seborrhea. I-Pathology ingenzeka kokubili kubantu abadala nasebuntwaneni. Lesi sifo singavusa izinkinga ezahlukahlukene, ngakho-ke, i-dermatitis ye-seborrheic kumele ilashwe ngendlela yesikhathi. Ukwelapha kufaka ukusetshenziswa kwezidakamizwa ezisetshenziselwa ngaphandle kanye nokusebenzisa kwangaphakathi. Kubalulekile ukukhumbula ukuthi iziguli ezinokuxilongwa kwe-seborrheic dermatitis kufanele zikhethwe ngokucophelela. Kubaluleke kakhulu ukugwema ukubonakaliswa kokungafani komzimba.

Izimbangela eziphambili nezimpawu ze-eczema seborrhea

Kunezinto eziningi ezibangela ukuthuthukiswa kwesikhumba se-seborrheic dermatitis.

Izizathu ezinkulu zihlanganisa:

• buthaka amasosha omzimba,
• ukucindezela
• ukujuluka ngokweqile
• isizinda se-hormonal esiphazamisekile,
• izifo zesistimu yezinzwa
• i-hypothermia,
• I-hypovitaminosis,
• ukungondleki kahle,
• isifo se-parkinson
• Izinkinga zokugaya ukudla.

I-dermatitis ye-seborrheic kubantu abadala ingahlotshaniswa nezifo ezahlukahlukene zezitho zokuzala, i-endocrine, uhlelo lwezinzwa, ngenxa yalokho okukhona lapho kuguquka khona isizinda sehomoni. I-Symbomatology yalesi sifo incike kakhulu kuhlobo lwe-seborrhea. Kunezinhlobo zesifo ezixutshwe, ezomile nezinamafutha.

Izimpawu zezinhlobo ezahlukahlukene ze-seborrheic dermatitis

• ukusebenza kwe-sebaceous gland,
• ukuqhekeka nokucwilisa isikhumba,
• isikhumba esomile,
• ukwakheka kwamaqhubu esikhunjeni,
• ukulunywa
• ukuba khona kwe-dandruff,
• izinwele ezicijile
• ubomvu besikhumba.

Uhlobo oluBold

• secretion ye-sebum eningi,
• isikhumba esinamafutha nesikhumba,
• isifiso esijwayelekile sokubhala izindawo eziyinkinga,
• ukubonakala kwesikali esimanzi esikhunjeni,
• ukuvela kwama-blackheads,
• hyperemia yesikhumba.

Uhlobo oluxubile luphawulwa ukuqala kwezimpawu, zombili izinhlobo ezomile nezinamafutha ezinama-seborrhea, ukulahleka kwezinwele kuwuphawu, ukwakheka kwezindawo ngenqubo yokuhlanza kungenzeka.

Uma lezi zibonakaliso zivela, kuyadingeka ukubonana nochwepheshe, ngoba ukwelashwa okungafanele kwesikhumba se-seborrheic dermatitis kungavusa izinkinga eziningi.

Ukwelashwa kwendabuko kwe-pathology

Ungayelapha kanjani i-dermatitis ye-seborrheic esimweni esithile izonconywa uchwepheshe onolwazi. Ukwelashwa kwalesi sifo kufanele kwenziwe ngendlela ehlanganisiwe. Imithi enqunywe udokotela ohambelayo, inikezwe ukuba khona kwezifo ezihambelanayo esigulini, izici zomzimba kanye nesimo sesimo se-pathological. Imithi eyinhloko ebekwe uchwepheshe wesikhumba se-dermatitis yi-amaqembu alandelayo emithi:

1. Amathebhulethi e-Antihistamine.
2. Izidakamizwa ze-antifungal.
3. Izidakamizwa ezi-Hypersensitizing.
4. Ama-antibiotic.
5. Corticosteroids.
6. Ukulungiselela okususelwa ku-salicylic acid noma i-zinc.
7. Amasu
8. Vitamin complexes.

Ama-antihistamines ajwayele ukubekelwa phansi izimpawu zesifo, ezinjenge-hyperemia, ukuvuvukala kanye nokuhanjiswa kwesikhumba. Izidakamizwa ezisebenzayo zaleli qembu yiLoratadin, iTelfast, Clemastine, iChloropyramine, iCitrine.

Ama-antifungal agents angathengwa ekhemisi ngesimo samafutha okugcoba, amaphilisi noma i-shampoo. Amalungiselelo okusetshenziswa kwangaphandle asetshenziswa uma i-dermatitis ye-seborrheic ivela ngendlela emnene noma elinganiselayo. Kwizigaba ezinzima kakhulu, izidakamizwa zokusetshenziswa kwangaphakathi zinqunyelwe.

Izidakamizwa ze-antimycotic zivimbela ukukhula kwesikhunta, zisheshise inqubo yokuphulukisa. Iningi lale mithi liza ngesimo sokugcoba, okhilimu nama-gels. Kule mishanguzo, iKetoconazole, Clotrimazole, Bifon, Fluconazole idume kakhulu.

Izidakamizwa ze-Hypersensitizing zenziwa nge-intramuscularly noma ngemithambo yegazi. Imijovo ejwayelekile ye-hyposensitizing yi-sodium thiosulfate ne-calcium gluconate. Basiza ukuqeda ukudakwa, ukuvuvukala nokulunywa.

Ukutheleleka kwamagciwane ezindaweni ezilimele zesikhumba kuphathwa kalula ngama-antibhayabhithi, okuwuchungechunge lwe-tetracycline, ngokwesibonelo, iMetacyclin. Corticosteroids

Imithi esetshenziswa kakhulu yokwelashwa kwe-corticosteroid topical. Izidakamizwa ezinjalo zibandakanya i-Cortade, Soderm, iLorined, iPoltokortolon. Le mithi iqeda ngokuphelele ukucasulwa kanye ne-hyperthermia. Kodwa-ke, azinconywa isikhathi eside, njengoba zingumlutha.

Nge-dermatitis ye-seborrheic, ukwelashwa kufaka ukuthatha ama-vitamini complexes aqukethe amavithamini E, A, C, kanye namavithamini we-B (ngokuyinhloko i-B1 ne-B2 kuyadingeka). Imvamisa, ama-Multitabs, ama-alfabhethi, nama-Perfectil amalungiselelo anqunywa kuleli cala.

Ngisho ne-allergy "enganakwa" ingalapheka ekhaya. Vele ukhumbule ukuphuza kanye ngosuku.

Izimpawu eziphambili nezimpawu zesifo

I-seborrheic dermatitis (seborrheic eczema) yenzeka ngenxa yokukhiqizwa kwe-sebum ngokweqile yizindlala ze-sebaceous. Isibonakaliso esibonakalayo sesikhumba se-seborrheic dermatitis sithathwa njengokulunywa, okuhambisana nokubomvu kwesikhumba kwezinye izindawo nokubhoboza kwe-scaly, esikwaziyo njengokuqina. Uma i-dermatitis ingalashwa, ngokuhamba kwesikhathi, izikali ziphenduka izigaxa.

Izimpawu zesikhumba se-seborrheic dermatitis zingama-rashes emzimbeni wezinzalo ezithile ze-follicular, zihlangana zibe ngamabala ayindilinga ngombala obomvu ophuzi noma opinki. Amachaphaza amfushane, kubukeka sengathi ambozwe ngofulawa, isiguli sihlushwa ukulunywa. Kungcono ukungabambezeli ukwelashwa, uma kungenjalo i-dermatitis ye-seborrheic ithatha ifomu eliyinkimbinkimbi, ama-plaque aphenduka abe amabala we-erythematous ane-crople yegazi.

Ngenxa yenqubo ende yokuvuvukala yesikhathi eside, kuvela izibazi esikhunjeni, bese ungakwazi ukwenza ngaphandle kwenqubo ebizwa nge- “dermabrasion”. Kwenziwa endaweni yobuhle.

Ama-dermatitis we-seborrheic dermatitis asendaweni, njengoba kungabonakala esithombeni esingezansi, ezindaweni zokuqongelela okukhulu kwezindlala ze-sebaceous. Lezi zingaba yizindawo: amashiya kanye nezinkophe, izindebe, izindlawu ezingemuva kwendlebe, isikhafu, izindunduma, imigoqo ye-inguinal, inkaba kanye nobuchopho bangaphandle.

Izimpawu zesikhumba se-seborrheic dermatitis zivela kancane, imvamisa konke kuqala nge-dandruff ekhanda. Bese kuba nokubomvu nokukhonkotha ngemuva kwama-auricles, ezingxenyeni ezihlukile zobuso. Isikali, isikali esenziwe ngotshani noma esimpunga siyavela ezinweleni, okudala ukulunywa nokuqina.

Udokotela wesikhumba utshela ngokuningiliziwe ngezimpawu zesifo kule vidiyo enikeziwe.

Izizathu zokubukeka

Lesi sifo singamahlalakhona futhi sinzima ukwelapha ngezidakamizwa. Ososayensi bafakazele ukuthi i-seborrheic dermatitis iziveza kubantu abane-immune immune.

I-Staphylococcus bacilli kanye nesikhunta lemvubelo eletha ama-enzyme athile abangela i-seborrhea. Lapho inani labo emzimbeni lifinyelela inani elithile, isimo sezempilo somuntu siba sibi - ukuhlupheka kokungaziphathi kahle, ukuvela kokuphazamiseka kwengqondo kwenzeka. Ngenxa yalokhu, ukungasebenzi kahle kwezindlala ze-sebaceous nokukhululwa okukhulu kwamafutha kuyabonakala, khona-ke ukutheleleka ngegciwane nokuvuvukala kwenzeka.

Iqhaza ekuthuthukisweni kwesikhumba se-seborrheic dermatitis yizici ezifana nokukhuluphala, ukusetshenziswa kotshwala, ukucindezelwa kwezinzwa, ukubekeka phambili kofuzo, isikhathi sonyaka.

Izimpawu zesikhumba se-seborrheic dermatitis

Kunzima ukungaziqapheli izimpawu ze-seborrheic dermatitis. Esigabeni sokuqala salesi sifo, kuvela izikali ezincane ezimhlophe esikrinini, okuthi ekuqaleni ubukeke kubukeke sengathi siqinile. Kepha, ngokungafani nesikhumba se-seborrheic dermatitis, i-dandruff ayikubangeli ukulunywa kanzima kwesikhumba nokuqina kwesikhumba. Amabala abomvu, ukwakheka okuminyene kwesikali ngisho namafrikhithi angamagazi kungavela esikhumbeni. Imvamisa amafulethi akha “umqhele” ngasemngceleni wezinwele. Kancane kancane, i-dermatitis ye-seborrheic inqoba izindawo ezintsha, idlule ebusweni, ubomvu bubonakale esikhunjeni sobuso, kunqabile ukwakheka kwesihlakala ebusweni, ezinhlamvini zamehlo, ngaphansi kwamaphiko ekhala, emiseleni yangaphandle yangaphandle. Ngezindlela eziqinile ezithuthukile zesikhumba se-seborrheic dermatitis, ukukhonkotha kanye namabala abomvu kungaya esikhunjeni sesifuba nezandla.

I-dermatitis ye-Seborrheic ayikwazi ukuqalwa, ingaphathwa futhi kufanele ilashwe ngawo wonke amakhambi ezokwelapha nawabantu, kepha ukwelashwa okuhlala isikhathi eside kuphela kungakusindisa ekubonakalisweni kwesifo okungathandeki.

Ukuhlolwa ngudokotela wesikhumba onesikhumba se-seborrheic dermatitis

Ukwelashwa kwesikhumba se-seborrheic dermatitis akufanele kuqale ngokusebenzisa amakhambi abantu, kepha ngohambo oluya ku-trichologist noma dermatologist. Uchwepheshe kuphela ongakhomba imbangela yangempela yokuqaqamba kwesikhumba, ngoba ngaphansi kwegama elithi "dandruff" seborrheic dermatitis, oily seborrhea noma dandruff njengoba kungafihlwa. Kunzima ukuthola ngokuzimela imbangela yalesi sifo.

I-seborrheic dermatitis yisifo sesikhumba esingamahlalakhona. Ngokusho koMnyango Wezempilo, kusuka ku-3 kuye ku-5% wabantu abahlushwa uhlobo olunzima lwe-seborrhea, futhi ngenxa yezindlela ezinobunzima ze-seborrhea, ukubonakaliswa kwako kufaka ukungathandeki ngemuva kwendawo ebomvu yesikhumba, ngokusho kokunye ukulinganisela, kufinyelela ku-20% wabantu bomhlaba abagulayo. I-dermatitis ye-Seborrheic dermatitis ifinyelela ku-10% wakho konke ukuvakashela udokotela wezikhumba.

Lapho wenza ukuxilongwa, uchwepheshe kufanele angabandakanyi izifo zesikhumba ezinjenge-psoriasis, i-atopic dermatitis, ezinye izifo zesikhunta (i-ringworm), i-eczematide, nezilonda zesikhumba ezincane. Ukuze uthole lokhu, udokotela uzothatha izikhumba eziningana zesikhumba semicroscopic nezifundo ze-mycological ku isikhunta se-pathogenic. Kwesinye isikhathi, ekuxilongeni i-seborrhea, ucwaningo olwengeziwe ngesimo sehormone yesiguli lungadingeka ukunquma ukwelashwa okuyikho.

Ungayelapha kanjani i-seborrheic dermatitis

Ungabhekana kanjani nokubonakaliswa kwalesi sifo? Kubaluleke kakhulu ukuqonda ukuthi i-seborrheic dermatitis yisifo esikhona samanje esinezikhathi zokuxoshwa kanye nokwanda.

Khumbula ukuthi noma iyiphi i-shampoo imane nje iyisijeziso, awukwazi ukwelapha i-dermatitis ye-seborrheic kuphela nge-shampoo. Ukwelashwa okukhiqizayo, udokotela wamazinyo kufanele anqume uhla lonke lwamalungiselelo akhethekile - amavithamini A, D, E, ama-amino acid nezidakamizwa ezithinta ngqo imbangela yalesi sifo.

Izimpawu ze-seborrhea zibangelwa isikhunta se-pathogenic sohlobo lweMalassezia, isithako semvelo kubo kungukukhululwa kwezindlala ze-sebaceous. Kuze kube manje, azikho izidakamizwa ezenza kube nzima ukusebenza kwezindlala ze-sebaceous, ngakho-ke ukwelashwa kwe-seborrheic dermatitis kuhloswe kuphela ukulungisa ukubonakaliswa kwezimpawu. Ngakho-ke, ngokwesibonelo, lapho kukhethwa izilonda zesikhumba esikhumbeni, kuphakanyiswa ukwelashwa okuqondile ngama-shampoos aqukethe izingxenye ze-antifungal ezifana ne-cyclopirox noma i-ketoconazole, kanye ne-zinc pyrithione.

Uma i-dermatitis ye-seborrheic dermatitis ingalashwa yile mishanguzo engenhla, udokotela wesikhumba angabeka izidakamizwa ezihlanganiswa, ezibandakanya izingxenye ze-hormonal ne-antifungal. Ukuzisebenzisa ngokwakho kwale mishanguzo akumele kube, ngoba kunemiphumela emibi eminingana kanye ne-contraindication.

Uma inqubo yokuvuvukala kwe-seborrheic ithinta isikhumba sobuso, uchwepheshe unquma ukwelashwa okufanele kwesikhumba sobuso, imvamisa ngezidakamizwa ze-hormonal. Ngesikhathi sokuvuvukala, kuyadingeka ukusebenzisa imikhiqizo engabangeli ukucasuka kwesikhumba, kungcono ukugeza ubuso bakho hhayi ngamanzi, kepha ngokuhlanza okugcotshwayo. Umugqa weSensibo wenkampani yezimonyo iBioderma uzikhombisile kahle.

Ukudla okudlayo kwanda nge-seborrhea

Iziguli ezinesikhumba se-seborrheic dermatitis ziyanconywa ukuthi zinciphise ukusetshenziswa kwamafutha ezilwane, isipayisi, okuthosiwe nokudla okumnandi, okuvamisile ukuphuza ikhofi, iziphuzo ezidakayo, njengoba lemikhiqizo inyusa imfihlo yezindlala ze-sebaceous, ngaleyo ndlela zandisa ukubonakaliswa kwe-seborrhea.

Kungenzeka ukwelapha i-dermatitis ye-seborrheic ngemithi yabantu, basebenza ngesikhumba impela, ngokuhambisana nemithi bavame ukunikeza umphumela omuhle. Ngokuvamile, ngezindlela zokwelapha zabantu, ukusetshenziswa kwama-decoctions amakhambi, ukusetshenziswa kwamamaski ne-lotion ngesikhathi sokwanda kwenqubo yokuvuvukala kunikezwa.

Ngenkathi yokwanda, lapho ukuqina kubumba kakhulu, iziguli ziyelulekwa ukuba zingavakasheli ukuyogeza, ukuhlala egumbini elinendawo eshisayo nenomswakama ukuze izindawo ezonakalisiwe zesikhumba zingavuthi. Ngesikhathi sokuxolelwa, lapho i-scalp ingasebenzi, kubalulekile ukuyinakekela kahle ukuze ungakhuphi i-dermatitis yesibeletho. Kuyelulekwa ukusebenzisa ama-shampoos athambile anomphumela wokuhlanza omnene.

Yini i-seborrheic dermatitis yesikhumba

Isifo esidalwa isenzo se-fungus patisgenic fungus yaseMalassezia futhi sibangele ukuvuvukala kwesikhumba i-seborrheic dermatitis (seborrhea). Ngenqubo yokuthuthukiswa kwe-pathology, ukukhiqizwa ngokweqile kwe-sebum, okuguqulwe ekwakhiweni ngama-microorganisms ayingozi, kwenzeka. Kulokhu, amafomu amakhulu aqine, uqweqwe olunamandla, olukhanyayo luvela ekhanda. Ngokwezibalo zezokwelapha, i-seborrhea ivame kakhulu kubantu besilisa ngoba ama-hormone abo ocansi athinta indlela ukusebenza kwezindlala ze-sebaceous.

Isici esikhulu ekwakhiweni kwalesi sifo ukutheleleka okubangelwa isikhunta se-genus Pityrosporum ovale. Cishe i-90% yabantu inenqwaba yabo esikhumbeni, kepha isitho esiyingozi senziwa kuphela ngezinga eliphakeme lokukhiqizwa kwesikhumba se-sebaceous esikhunjeni noma ngokwehla komzimba. Kunezimbangela ezimbalwa zangaphakathi nangaphandle zokuqagela okubangela ukukhula kwesikhumba se-seborrheic dermatitis. Izici zangaphandle:

• ifa
• ukungondleki okungalungile, okungalingani,
• dysbiosis,
• izingcindezi ezivamisile
• I-hyperhidrosis (ukujuluka ngokweqile),
• i-PP yokuntula kwe-vitamini,
• i-hypothermia,
• ukusetshenziswa kwezidakamizwa (izidakamizwa ze-psychotropic, ama-hormone, ama-antidepressants),
• ukuntuleka kwe-zinc emzimbeni,
• ukusetshenziswa kwenhlanzeko yomuntu siqu nemikhiqizo yokuhlanza yasendlini.

Kunezimbangela ezimbalwa zangaphakathi ze-seborrhea zesikhumba. Lokhu kufaka phakathi:

• Izifo zesistimu yezinzwa (CNS),
• i-pathologies yohlelo lwe-endocrine, ukuphazamiseka kwe-hormonal,
• ukuhlaselwa isithuthwane
• izifo zokugonywa (i-AIDS, i-immune immunodefrition, i-HIV),
• Isifo sikaParkinson.

Isibonakaliso esiyinhloko sokukhula kwe-seborrhea esikrinini i-dandruff. Amaseli esikhumba avuselelwa njalo, isikhathi sokuxoshwa okuvamile kwe-genermis efile ihlala inyanga. Lapho isikhumba sithinteka ukhunta, umjikelezo wehla uye ezinsukwini ezi-5-7. Amaseli akhishwe ngaphandle asinasikhathi sokudlula esigabeni sokukhipha amanzi emzimbeni, okubangela inani elikhulu lokuqina kwesikhumba. Kunezinhlobo eziningi ze-seborrhea, ezihambisana nezimpawu zobuntu. Isikhumba esomile yile:

• ukubonakala kwe-dandruff, okukhona endaweni yomqhele wekhanda nentamo (kwesinye isikhathi kusakazeka kuyo yonke ikhanda),
• Imingcele ethusayo yokugxila kokutheleleka ngefungus,
• isikali se-dandruff - okukhululekile, okuncane, kombala omhlophe grey,
• umugqa wezinwele womile kakhulu, lapho ukhuhla noma usikihla ikhanda, ukuqina kuyadilika kalula.

Uhlobo olunamafutha lwesikhumba se-seborrheic dermatitis nayo iyodwa. Izimpawu zayo yilezi:

• isikali esikhishwe ku-sebaceous, sinamathela ndawonye, ​​sehlukile ngombala ophuzi,
• lolu hlobo lwe-dandruff lunamathiselwe ngokuqinile esikhunjeni, ngakho-ke uma lithinta isikhumba, lihlukaniswa ngemikhumbi emikhulu,
• izinwele zisheshe zibe namafutha, zinamathele ndawonye,
• isikhumba siphenduka sibe bomvu, ukusikeka, ukucasuka, ukuqhuma kuqhamuke (lapho kuhlanganiswa, ukuphuma kwezilwane kungenzeka - ukwephulwa kokwethembeka kwesikhumba).

Olunye uhlobo lwesikhumba yisifo sokuvuvukala. Lolu hlobo lwe-seborrhea lunezimpawu ezilandelayo:

• isikhumba siba bomvu kakhulu, kwakheka isikhumba esinemiphetho ecacile,
• ama-plaque anezikali ezimhlophe noma eziphuzi angahlangana kube ama-foci amakhulu angcwaba yonke inwele yekhanda,
• Ezimweni eziningi, kwakhiwa "umqhele we-seborrheic" - indawo enomkhawulo wokuxhaxha,
• ukulunywa kanzima kwesikhumba,
• kwesinye isikhathi uqweqwe olungwephuzi olunamafungo angathandeki ebusweni endaweni ye-ebalulekile ye-seborrhea (uma isusiwe, indawo ekhalayo yesikhumba iyabonakala).

Ukuxilonga

Lapho kuvela izimpawu zokuqala ze-seborrhea ekhanda, kufanele ufune usizo kudokotela wamazinyo. Uma kuvela isidingo esinjalo, udokotela unquma ukuthi kwenziwe ukuhlolwa okwengeziwe nge-endocrinologist, andrologist, uchwepheshe wezifo ezithathelwanayo, udokotela wezifo zengqondo, udokotela wezengqondo, nodokotela oyi-neurologist. Ukuqinisekisa ukutholakala kwesifo okuyikho, udokotela uqala alalele izikhalazo zesiguli.

Ngemuva kwalokho uthola amaphuzu asemqoka ekwakhiweni kwesikhumba, ahlole izindawo ezithintwe yi-fungus, ahlole isimo sezinwele nesikhumba. Ngemuva kokuthumela isiguli ukuthi siyokwenza izivivinyo (i-OAM ne-UAC). Ukuthola izici zobungozi namazinga e-hormone, uchwepheshe unikeza ukuhlolwa kwegazi okune-biochemical. Sisadinga i-ultrasound yesibeleko sesisu kanye nendlala yegilo.

Ungasusa kanjani i-seborrheic dermatitis

Njengomthetho, ukwelashwa kwe-seborrheic dermatitis ebusweni nasekhanda kuyinkimbinkimbi. Isiguli kufanele sifunde ukuzinakekela kahle izinwele nesikhumba, sinamathele ekudleni okulinganiselayo nasekudla. Kunemithi eminingana ebekelwe ukwelashwa, kanti futhi kusetshenziswa umuthi wendabuko kanye ne-physiotherapy. Ngaphambi kokuqala ukwelashwa, kufanele uthintane njalo nochwepheshe.

Ngokuvimbela kanye nokwelashwa kwezifo ezingavuthi ezingemnandi, ukunakekelwa okufanele kwesikhumba nge-seborrhea kuyadingeka. Lezi zinyathelo ziqukethe ukwanda kwe-epidermis kanye nokwehla komsebenzi wokuphepha kokutholwa okuvela ezithweni ze-sebaceous. Imikhiqizo yokunakekelwa kufanele ifukamele kahle futhi ibe nomphumela omuhle wokuvuselela imisebenzi yokuvikela isikhumba.

Kunconywa ukuthi ungasebenzisi noma unciphise ukusetshenziswa kwezimonyo zokuhlobisa, ngoba zivimba ama-pores futhi zandisa isimo sesiguli kuphela. Kungcono ukwelapha isikhumba ngezimonyo ezingenayo utshwala (kuyasicasula kakhulu isikhumba, kugqugquzela ukugcotshwa kwamafutha okusebenzayo). Lapho ukhetha imikhiqizo yokunakekela, udinga ukuthenga lokho okuhloselwe ukuqeda i-seborrhea. Ama-shampoos anjalo, okhilimu, ama-lotion afaka izinto ezilwa nokuvuvukala, izinto ezingenziwayo kanye nezinomswakama.

Ukuhambisana nokudla okukhethekile kwesikhumba se-seborrheic dermatitis kubaluleke kakhulu. Izinhloso eziphambili zokudla:

• ukuvuselelwa kabusha kwe-microflora ejwayelekile yomzimba,
• ukususwa kwendawo evumele ukusakazwa kwesikhunta,
• ukungafakwa kwimenyu yaleyo mikhiqizo ye-allergen engavusa ukukhula kwe-seborrhea,
• Ukuqedwa kobuthi emzimbeni,
• ukubuyiselwa kokusebenza kohlelo lokugaya ukudla,
• ukugcwala komzimba ngamavithamini namaminerali abalulekile.

Izazi zezempilo zithola inani lokudla okungadliwa yi-seborrheic dermatitis. Lokhu kufaka phakathi:

• ukubhema, okunamafutha futhi okuthosiwe,
• izithelo
• sitrobheli
• i-caviar (noma iyiphi)
• imifino ethosiwe
• ukudla okusheshayo
• amakhowe.

Ukudla kwesiguli kufanele kube ukudla okunempilo kuphela. Imenyu kufanele ifake:

• ubisi omuncu (i-kefir, ukhokho ushizi, iyogathi),
• inyama enamafutha amancane (i-veal ebilisiwe noma ebhakwe, inkukhu, iturkey, inyama yomvundla),
• ukuphuza kakhulu (amanzi, ujusi, isiphuzo sezithelo, itiye elingaxhunyiwe ku-inthanethi),
• amajikijolo (ama-currants, ama-cherries, ama-gooseberries, ama-cranberry, ikhabe),
• izinhlobo ezinenhlanzi ezinamafutha amancane (abilayo),
• ngenani elincane elivunyelwe i-zucchini, ithanga, ipherishi, ulwandle neminye imifino.

Ukwelashwa kwesikhumba se-seborrheic dermatitis ekhanda ngamalungiselelo wemithi

I-dermatitis ye-seborrheic idinga indlela ebanzi yokwelashwa. Ezimweni eziningi, ukwelashwa kufaka ukusetshenziswa kwamaqembu amaningana emithi (amaphilisi, amaphilisi, imijovo, ukulungiswa kwe-onical - i-oyile, inaliti, ukhilimu we-seborrhea ekhanda). Ukwelashwa kwesikhumba se-seborrheic dermatitis kufanele kunqunywe ngudokotela ofanelekile, ngemuva kokwenza ukuxilongwa okuyikho. Amaqembu aphambili wezidakamizwa asebenza kulesi sifo:

• glucocorticosteroids,
• izidakamizwa ze-antibacterial
• ama-antihistamines nezidakamizwa ze-hypersensitizing,
• ama-keratolytic agents
• ama-immunomodulators
• izidakamizwa ze-antifungal.

Kusho indlela yokuthola ithebhulethi ukubhekana ngempumelelo nefungus eyingozi nezimpawu zayo. Amaphilisi wokwelashwa kwe-seborrheic dermatitis ahlukaniswa ngokulandelayo:

1. Ama-antifungal agents abalulekile ekwelapheni i-scalp seborrhea. Vimbela ukwenziwa kabusha okusebenzayo kwama-microorganisms aseMalassezia, ukusheshisa inqubo yokuphulukisa. Imithi enjalo ivame ukukhiqizwa emathebhulethi, anqunyelwe i-dermatitis enzima. Amathebulethi athathwa kaningana ngosuku, umthamo unqunywe ngudokotela. Izidakamizwa ezidume kakhulu zaleli qembu: Clotrimazole, Fluconazole, Ketoconazole, Terbinafine, Bifonazole, Beclomethasone, Hydrocortisone.
2. I-Hyposensitizing kanye nama-antihistamines. Zibekelwe ukuqeda ukukhukhumala, ubomvu kanye nokulunywa. Umthamo unqunywe ngokuhlukile, isikhathi sokwelashwa kufanele singabi ngaphezu kwezinsuku ezingama-8-10. Kusetshenziswa kakhulu iChloropyramine, Clemastine, Loratadine, diphenhydramine, Diazolin, Suprastin.
3. Kwezinye izimo, ama-systemic antibiotic ayadingeka. Ziyadingeka ekwelapheni i-dermatitis eyinkimbinkimbi ukutheleleka ngegciwane. Amaphilisi we-antibacterial avela ku-seborrhea yesikhumba ahlanganiswa nama-probiotic ukugwema i-dysbiosis. Imithi ejwayelekile ye-tetracycline (Metacyclin, Doxycycline, Cefazolin) noma umuthi wokuhlanganisa (Metronidazole, Oletetrin, Levofloxacin) Njengomthetho, ama-antibiotics aqala ukuthatha imithamo yokuthuthumela, eye inciphe kancane kancane.
4. I-dermatitis ivame ukuphathwa ngemithi ye-keratolytic, ethambisa kalula ama-plaque, izikali eziminyene esikhunjeni sekhanda. Amathebhulethi anjalo ayasebenza ngokuhlangana nama-antifungal agents. Ukulungiswa kwe-zinc ne-salicylic acid kuvame ukusetshenziswa.
5. Ama-Glucocorticosteroid asetafuleni aqeda ukuvuvukala. Lokhu kufaka i-hydrocortisone, beclomethasone, i-prednisolone, idiprospan, i-prednisolone.

Ungayiphatha kanjani futhi kanjani ukwelashwa kwe-dermatitis seborrheic ebusweni?

Ukuthola izimpawu zesikhumba se-seborrheic dermatitis ebusweni, abantu bavame ukwesaba kakhulu. Okokuqala, bakhathazekile ngombuzo, ingabe i-seborrheic dermatitis iyathathelana noma cha?

Kuyafaneleka ngokushesha ukuvuselela labo abangazi ukuthi i-dermatitis ye-seborrheic iyathathelana. Lesi sifo asisebenzi ezifweni ezithathelwanayo, yize sinikeza umuntu okuhlangenwe nakho okuningi ngenxa yokubukeka kobuhle. I-seborrheic dermatitis ayitheleleki. Uma omunye umuntu engazi ukuthi sibukeka kanjani i-seborrheic dermatitis, vele ubheke isithombe bese konke kuzocaca.

Kuyasiza ukuhlala ngemininingwane eminingi ngezindlela zokwelashwa kanye nezincomo zochwepheshe maqondana nokuqeda lesi sifo.

Noma ngabe yiziphi izizathu zokuvela kwesikhumba se-seborrheic dermatitis, ukwelashwa kwayo ngeke kusebenze ngempela lapho isiguli singakulandeli ukudla okuchazwe udokotela. Inikezela ngokusetshenziswa kwalabo kuphela imikhiqizo engadali yokwaliwa. Kuyadingeka ukunciphisa ukusetshenziswa kokudla okunosawoti, okunoshukela kanye nezinongo ngangokunokwenzeka, ukulahla ukudla okunesitashi. Izithelo ezintsha nemifino kunconywa uma amabala amasha avela ku-seborrheic dermatitis angaveli kuwo.

Kusetshenziswa kakhulu ekwelapheni kwamafutha okugcoba anezitho zokuthambisa:

• UKetodyne
• Okuhle
• Lamisil
• UMikospor
• Clotrimazole
• I-Bifasam
• I-Cyclopirox.

Lapho bengakuvezi ukusebenza kahle kwendlela yokwelashwa, udokotela wezokwelapha uchaza ukugcotshwa ngama-hormone athambile (i-Elok). Enye indlela yabo ama-immunomodulators - I-Elidel ne-Protopic. Ukuthambisa ukukhonkotha ebusweni kusizwa ukusetshenziswa kwe-zinc, usawoti kanye ne-ichthyol ointment, isidakamizwa iBepanten. Kwezinye izimo, iziguli zinconywa ama-corticosteroids.

Kunconywa futhi ukusebenzisa okhilimu abavikela isikhumba kuma-pathogen. Lokhu kufaka phakathi imikhiqizo esuselwa ku-urea, insipho ye-tar, eminye imikhiqizo enezinga eliphezulu le-acidity, nama-disinfectants

Izisombululo ezinamanzi

Lapho kukhona i-seborrhea eyomile, kunconywa ukusula ubuso ngezixazululo ezinamanzi ze-asidi:

• uviniga
• usawoti
• usawoti
• ulamula
• i-boric,
• i-sodium bicarbonate.

Lapho i-phenomena enzima inyamalala, izidakamizwa ezinomphumela we-exfoliating ziyasetshenziswa. Bayakuvumela ukuthi uhlanze ubuso bakho ngama-comedones.

Ukwelashwa kwesikhumba se-seborrheic dermatitis ezinganeni

Lapho i-dermatitis ye-seborrheic ivela ebusweni bengane, uhlelo lokwelashwa lincike kuphela kwifomu lesifo. Imvamisa, i-dermatitis yesibeletho ezinsaneni ezisanda kuzalwa ine-benign course, ngakho-ke, izimpawu zesifo zinganyamalala ngokuzenzakalela izinyanga ezimbili zokuphila.

Ungancoma ukuthi omama abathole ama-dermatitis we-seborrheic ezinganeni bahlanze ikhanda lengane yabo nsuku zonke nge-shampoo yezokuhlanzeka, bese begcoba imbobo yesikhumba nekhanda ngamafutha amaminerali noma omnqumo. Ebusweni ngemuva kokugeza, kungcono ukufaka ukhilimu ovikelayo.

Ungase futhi ube nentshisekelo ku:

Ukwelashwa okuhlukile

Noma ngabe yiziphi izimbangela ze-seborrheic dermatitis, enye indlela yokwelashwa yalesi sifo ikhombisa imiphumela emihle kakhulu. Odokotela bavame ukuncoma zonke izinhlobo zemithi yemvelo ukusiza ukuxazulula inkinga efanayo. Iresiphi yemvelo esetshenziswa kakhulu yile:

1. hlanganisa isipuni sejusi sikagalikhi nojusi kalamula,
2. faka uketshezi esikhunjeni sobuso,
3. yima imizuzu eyi-10
4. hlamba, sula ngendwangu ethambile,
5. Faka amafutha omnqumo ebusweni bakho,
6. makume
7. geza amahora ambalwa.

Kungakhathaleki ukuthi iyini imbangela yesikhumba se-seborrheic dermatitis ebusweni, ukukhipha isikhumba ngamanzi olwandle kunikeza umphumela omuhle kakhulu:

1. thatha isitsha, uthele amanzi afudumele kuwo uthele usawoti wasolwandle oluningi,
2. hlanganisa kahle
3. geza ubuso ngesisombululo, uvule ama-pores,
4. ungabeka ubuso bakho esitsheni
5. Ukuthola amanzi anosawoti emehlweni akho akuyona ingozi, kufana nokubhukuda olwandle, kuyacasula, kepha kuyahamba,
6. ekugcineni kwenqubo, ubuso kumele buhlanjululwe ngamanzi abandayo, bese busula ngethawula elihlanzekile.

Ukuvimbela

Ngisho nangemva kokuqeda izimpawu zesikhumba se-seborrheic dermatitis ebusweni, kumele kuthathwe izindlela zokuthibela:

• gwema ukucindezela
• hamba kaningi
• nakekela isikhumba
• gcina inqubo yansuku zonke
• ngezikhathi ezithile uya ezindaweni zokungcebeleka ze-balneological.

Kufanele kukhunjulwe ukuthi i-pathology enjalo kulula kakhulu ukuyelapha uma uqala ukuqeda ngokushesha ngemuva kokuqala kwezimpawu. Ukuvakasha okufika ngesikhathi kuphela kochwepheshe okuqinisekisa ukusebenza kahle kwemiphumela.

Izinqubo zokuhlanzeka

Nge-dermatitis ye-seborrheic, udinga ukugeza izinwele zakho nomzimba usebenzisa ama-shampoos antifungal. Lokhu futhi kuyikhambi.

1. I-Nizoral Shampoo. Lapho usebenzisa lo muthi amasonto ama-2-4, unganciphisa inani le-dandruff, unciphise ukulunywa. Njengengxenye ye-shampoo - ketoconazole, 2%, inomphumela we-antimycotic, wehlisa ukukhula kwesikhunta.
2. Isikhumba cap Ukwakheka kwalo muthi kusebenze nge-zinc pyrithione. Ukulungiselela kwalolu hlobo kunomphumela we-antimicrobial, antifungal. I-Shampoo inciphisa ukuvuvukala kwesikhumba, yomisa i-foci emanzi.
3. Keto plus. Umkhiqizo onzima uqukethe i-ketoconazole ne-zinc pyrithione. I-shampoo yezokwelapha inciphisa ukucwilisa isikhumba, isize ukuqeda i-dandruff, ine-antipruritic and antifungal imiphumela.
4. Sebiprox. Ine-antimycotic, fungicidal effect. Inezakhiwo ezihehayo. Lolu hlobo lwesidakamizwa kufanele lusetshenziswe kabili ngesonto. Lapho ugeza izinwele, i-shampoo isetshenziswa kabili, izinwele kanye nesikhumba kuhlanganiswa imizuzu engama-5, bese umkhiqizo uhlanzwa. Umphumela omuhle ungatholakala ngenyanga.

Kuyinto elula ukusebenzisa ama-shampoos aqukethe i-tar. I-Tar shampoo, efana nesepha lensimbi, isiza ukubhekana nokuqina, inciphisa ukulunywa kwekhanda.

Ingasetshenziswa ngokushintshana nama-shampoos antifungal.

Kubalulekile ukuqaphela inhlanzeko yobuso. Ungazigezi ngamanzi empompo, kungcono ukusebenzisa izihlanza zokwelapha, amagwebu kanye nama-gels obuso anezici ze-antiseptic.

Insipho yeTar ilungele ukuhlanza isikhumba. Leli khambi linomphumela wokulwa nokuvuvukala, wokuvuselela amandla. Ingasetshenziswa njalo lapho uthatha izinqubo zamanzi.

Ukwelashwa kwesikhumba kwenziwa nge-salicylic acid. Inomphumela wokubulala amagciwane, isiza ukukhipha amaseli esikhumba afile we-epidermis, futhi ikhuthaza ukwenziwa kabusha kwesikhumba nobuso.

Kusho ukufaka isicelo esikhunjeni

Noma usebenzisa njalo i-shampoo ekhethekile, insipho yethafa, lokhu kungenzeka kunganele ukuqeda lesi sifo. Ezimweni ezinjalo, udinga ukukhetha amafutha agqamile (noma ukhilimu) wesikhumba se-seborrheic dermatitis.

Ama-creams namafutha okugcoba anomphumela we-antimycotic asetshenziswa ngokuyinhloko i-seborrhea.

• Kufanelekile ukufaka esikhunjeni ukhilimu weNizoral uqukethe i-ketoconazole, evimbela ukukhula kwesikhunta. Umuthi usetshenziselwa izilonda ngesendlalelo esincanyana kanye ngosuku, ukwelashwa kufanele kwenziwe amasonto ama-2-4.
• I-Cream ne-aerosol Tsinokap. Le mishanguzo isetshenziswa ezigabeni ezahlukahlukene zesifo. Ngokwesimo esibuhlungu, ngokukhala, kungcono ukusebenzisa i-aerosol. Ngaphezu kwengxenye ye-antifungal, iqukethe i-ethyl alcohol, enokomisa, yokulwa nokuvuvukala. Ukuze uthole ukuvuvukala okulinganiselayo, ungasebenzisa ukhilimu we-Tsinokap. Ikhuthaza ukuvuselelwa kwesikhumba, njengoba i-dexpanthenol ikhona ekubumbeni.
• I-Lamicon. Kutholakala ngesimo sokugcoba, isifutho ngisho namathebulethi. Inomphumela wokuphazamisa. Amafutha angafakwa esifubeni, ebusweni. Yehlisa ukukhula kwesikhumba se-seborrheic dermatitis.

Umuthi osebenzayo wesikhumba se-seborrheic dermatitis equkethe i-corticosteroids ungabhekwa uma i-seborrhea iyinkimbinkimbi yi-eczema. Ungasebenzisa abenzeli be-hormonal isikhathi esifushane ukugwema ukujwayela nokunciphisa isikhumba.

• Ngalezi zinhloso, iTriderm ilungile. Ine-antimycotic, anti-inflammatory, antibacterial effect.
• Ukugcotshwa kweBelosalik. Njengengxenye yesidakamizwa, i-salicylic acid ne-betamethasone. Uma ukwelashwa ngalesi sidakamizwa kwenziwa, isiguli sinayo i-ukulunywa, ukuvuvukala kwesikhumba. I-Betamethasone inomphumela ophikisiwe we-allergic.

• U-Elidel ukhilimu une-anti-inflammatory, antipruritic effect. Umuthi lo ungasetjenziswa isikhathi eside, umuthi uvunywa ukusetshenziselwa izinyanga ezintathu zokuphila. Ukhilimu ufakwa ekuseni nakusihlwa ngesendlalelo esondile ezindaweni zesikhumba esithintwe yi-seborrhea.
• I-Protopic ointment. Lo muthi unomphumela wokulwa nokuvuvukala, ukhuthaza ukuvuselelwa kwezicubu. Isetjenziswa ebusuku, kusendlalelo esincanyana, ungayisebenzisa amaviki amathathu.
• Isalfure, i-ichthyol ointment inezakhiwo ezixakile. Le mishanguzo isetshenziswa esikhunjeni kanye nokukhonkotha okunamandla kwe-epidermis.

Ukwelapha i-dermatitis ye-seborrheic ngokushesha, isiguli sidinga ukuthatha amavithamini:

• Vitamin A (retinol). Iba yingxenye yezinqubo zomzimba zokuphulukisa nokuphulukisa zomzimba, ithinta ukwakheka kwamaprotheni kuma-membranes weseli, inomthelela ekusebenzeni okujwayelekile kwamasosha omzimba.
• Amavithamini we-B (thiamine, riboflavin, cyanocobalamin). Bafaka isandla ekuthini kube ngokwejwayelekile izinqubo ze-metabolic emzimbeni, babambe iqhaza ekwakhiweni kwamaprotheni, futhi bathuthukise ukusetshenziswa kwe-oxygen.
• Vitamin E (tocopherol acetate). I-antioxidant. Ikhuthaza ukuvuselelwa kwesikhumba, inomthelela wokuthambisa ku-epidermis, futhi ivimbela ukwakheka kwe-sebum ngokweqile.

Ukwehlisa ukulunywa, ngokubonakala kokungahambi kahle komkhiqizo kwimikhiqizo yokulahla isikhunta, ama-antihistamines angasetshenziswa. Ilungele le pilod zodak. Zingathathwa 1 pc. ngaphambi kokulala, akusekho inyanga eyi-1.

Ukwenza ngcono isimo se-epidermis, izinqubo ze-UV zingenziwa. Ukuchayeka elangeni kuyabulala isikhunta.

Izindlela zokuvimbela

Ukususa i-exacerbations of dermatitis seborrheic, ukusetshenziswa kwemithi yangaphandle akwanele.

Ukuze ngempumelelo yokwelashwa, isiguli kufanele:

• Bheka inhlanzeko yekhanda nomzimba.
• Gcina ukungavikeleki kuhamba njalo emoyeni omusha.
• Yidla okulungile, ungasebenzisi kabi utshwala, ugwayi, ukudla okunamafutha kakhulu noshukela.

Zonke izinqubo zokwelapha kufanele zihambisane nodokotela wakho. Noma kuphephile, ngokubuka nje kokuqala, insipho ye-tar ingomile isikhumba. Uchwepheshe kuphela onquma ukuthi kuthathe isikhathi esingakanani ukwelashwa kanye nomthamo ofanele wezidakamizwa.